Individual
COLLINA AFRIYIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
196 THOMAS JOHNSON DR STE 120, FREDERICK, MD 21702-4521
(240) 566-3130
(240) 566-3131
Mailing address
1301 VOLUNTEER DR, BRUNSWICK, MD 21716-9706
(571) 385-9648
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0005636
MD
363AM0700X
Medical Physician Assistant
C05636
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521041100
—
MD
Enumeration date
01/13/2015
Last updated
07/14/2022
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